Individual
JACQUELINE MAE CLOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
655 OLD HICKORY RIDGE RD, WASHINGTON, PA 15301-8662
(724) 249-1256
Mailing address
655 OLD HICKORY RIDGE RD, WASHINGTON, PA 15301-8662
(724) 249-1256
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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